Riverside Afh

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

566200 Issued in WA

Legal business name

RIVERSIDE AFH

Practice address

7410 SE Evergreen Hwy
Vancouver, WA 98664-1718

Phone

(360) 597-3835

Fax

(360) 597-4654

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron Ayres, RCP, RPSGT

Title

Owner

Phone

(360) 597-3835

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1427490887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 SE EVERGREEN HWY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641718",
            "telephone_number": "360-597-3835",
            "fax_number": "360-597-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 SE EVERGREEN HWY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986641718",
            "telephone_number": "360-597-3835",
            "fax_number": "360-597-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE AFH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "AYRES",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-597-3835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP, RPSGT"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.